Community-Based HIV Primary Care and Prevention Services
FAU Control # 0904221202
Issued by New York State Department of Health, AIDS Institute, Division of HIV Health Care, Bureau of HIV Ambulatory Care Services and Health Research, Inc.
Schedule of Events
Questions Due | September 2, 2009 |
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RFA Updates and Questions and Answers Posted | September 16, 2009 |
Letter of Interest Due | September 23, 2009 |
Applications Due | September 29, 2009 |
Contact Information
Written Submission of Substantive Questions:
- Lisa Roland-Labiosa, MPH
New York State Department of Health
AIDS Institute - Primary Care Section
Empire State Plaza
Corning Tower, Room 429
Albany, NY 12237
E-mail:aipcrfa09bml@health.state.ny.us
Submission of Questions of a Technical Nature, in Writing or by Telephone:
Applicant Conference and Letter of Interest:
- Lisa Wend
New York State Department of Health
AIDS Institute
Empire State Plaza
Corning Tower, Room 429
Albany, NY 12237
Phone: (518) 474-7904
E-mail: lms11@health.state.ny.us
Submission of Applications:
- Valerie White
Deputy Director, Administration and Data Systems
New York State Department of Health
AIDS Institute
Empire State Plaza
Corning Tower, Room 478
Albany, NY 12237
Documents
- Request for Applications (PDF, 2.8MB, 139pg.)
- Sample Letter of Interest (DOC, 26KB, 1pg.)
- Sample Letter of Commitment from Executive Director or Chief Executive Officer (DOC, 47KB, 1pg.)
- Sample Letter of Commitment from Board of Directors or Equivalent Official (DOC, 49KB, 1pg.)
- Application Checklist (DOC, 55KB, 1pg.)
- Verndor Responsibility Questionaire (DOC, 235KB, 7pg.)
- Vendor Responsibility Attestation (DOC, 123KB, 1pg.)
- Application Cover Page (DOC, 60KB, 1pg.)
- Service Grid and Timeline (DOC, 59KB, 1pg.)
- Population Data Form (DOC, 51KB, 1pg.)
- Agency Capacity and Staffing Information (DOC, 59KB, 1pg.)
- Board of Directors Information (DOC, 61KB, 1pg.)
- Funding History for HIV Services (DOC, 55KB, 1pg.)
- AIDS Institute Reporting System (DOC,48KB, 1pg.)
- Electronic Medical Records (EMR) (DOC, 47KB, 1pg.)
- Summary Budget Forms (XLS, 171KB,7sheets)
- Questions and Answers (PDF, 67KB, 12pg.)